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  1. Gennaro, Susan DSN, RN, FAAN
  2. Dugyi, Edith MMS, SRN, SCM, PHN
  3. Doud, Joan Marie MMS, CNM, RN
  4. Kershbaumer, Rose MMS, CNM, MSN, EdD


A train-the-trainer intervention, based on the World Health Organization's Safe Motherhood Initiative, was successful in changing some health beliefs and health practices among village men and women of childbearing age in a remote area of Uganda. Specifically, more villagers reported attending postpartum care and beginning prenatal care earlier in pregnancy. Some beliefs were not changed (eg, belief in bewitchment), but some beliefs (eg, use of herbal medicines during labor) were not as widely held as a result of this cost-effective and easily sustainable program.